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Study Highlights:

  • Healthy nonsmokers experienced increased adrenaline levels in their heart after one electronic cigarette (e-cigarette) with nicotine.
  • The same healthy nonsmokers did not experience increased adrenaline levels in the heart after using one nicotine-free e-cigarette or a sham e-cigarette.
  • Acute e-cigarette use in nonsmokers did not appear to cause oxidative stress on the heart, but more studies are needed to confirm that finding.

Embargoed until 3 p.m. CT / 4 p.m. ET Wednesday, Sept. 20, 2017

DALLAS, Sept. 20, 2017 — Healthy nonsmokers may experience increased adrenaline levels in their heart after one electronic cigarette (e-cigarette) with nicotine, according to new research in Journal of the American Heart Association, the Open Access Journal of the American Heart Association/American Stroke Association.

Nerve endings in the sympathetic nervous system release both adrenaline (epinephrine) and noradrenalin (norepinephrine), both of which play a role in the fight or flight response. Perpetually increased activity of the sympathetic nervous system contributes to increased cardiac risk.

“While e-cigarettes typically deliver fewer carcinogens than are found in the tar of tobacco cigarette smoke, they also usually deliver nicotine. Many believe that the tar — not the nicotine — is what leads to increased cancer and heart attack risks,” said Holly R. Middlekauff, M.D., senior study author and professor of medicine (cardiology) and physiology at the David Geffen School of Medicine at UCLA. “So, we asked the question, are e-cigarettes safe?”

Middlekauff and her team used a technique called “heart rate variability” obtained from a prolonged, non-invasive heart rhythm recording. Heart rate variability is calculated from the degree of variability in the time between heart beats. This variability may be indicative of the amount of adrenaline on the heart.

Prior studies have used a heart rate variability test to link increased adrenaline activity in the heart with increased cardiac risk. People with known heart disease and people without known heart disease who have this pattern of high adrenaline levels in the heart have increased risk of death, Middlekauff said.

In what Middlekauff said is the first study to separate the nicotine from the non-nicotine components when looking at the heart impact of e-cigarettes on humans, researchers studied 33 healthy adults who were not current e-cigarette or tobacco cigarette smokers. On different days, each participant used an e-cigarette with nicotine, an e-cigarette without nicotine or a sham device. Researchers measured cardiac adrenaline activity by assessing heart rate variability, and oxidative stress in blood samples by measuring the enzyme plasma paraoxonase (PON1).

They found:

  • Exposure to e-cigarettes with nicotine, but not e-cigarettes without nicotine, led to increased adrenaline levels to the heart, as indicated by abnormal heart rate variability.

  • Oxidative stress, which increases risks for atherosclerosis and heart attack, showed no changes after exposure to e-cigarettes with and without nicotine. The number of markers they studied for oxidative stress were minimal, however and more studies are warranted, according to Middlekauff.

“While it’s reassuring that the non-nicotine components do not have an obvious effect on adrenaline levels to the heart, these findings challenge the concept that inhaled nicotine is benign, or safe. Our study showed that acute electronic cigarette use with nicotine increases cardiac adrenaline levels. And it’s in the same pattern that is associated with increased cardiac risk in patients who have known cardiac disease, and even in patients without known cardiac disease,” Middlekauff said. “I think that just seeing this pattern at all is very concerning and it would hopefully discourage nonsmokers from taking up electronic cigarettes.”

The American Heart Association believes that e-cigarettes, like all tobacco products, pose risk. The association supports FDA regulation of e-cigarettes that address marketing, youth access, characterizing flavors, free sampling, labeling, quality control over manufacturing and product standards for contaminants and other ingredients. The association also supports including e-cigarettes in comprehensive smoke-free air laws, taxation and comprehensive cessation programs.

Future studies should look more closely at oxidative stress and e-cigarette use, using a broader number of cardiac markers, in a larger population of people, researchers said.

Co-authors are Roya S. Moheimani, B.S.; May Bhetraratana, M.H.S.; Kacey M. Peters, B.S.; Benjamin K. Yang; Fen Yin, Ph.D.; Jeffrey Gornbein, Dr.PH; and Jesus A. Araujo, M.D., Ph.D. Author disclosures are on the manuscript.

The Tobacco-Related Disease Research Program; American Heart Association, Western States Affiliate; National Institute of Environmental Health Sciences, National Institutes of Health; Irma and Norman Switzer Dean's Leadership in Health and Science Scholarship; and UCLA Clinical and Translational Science Institute funded the study.

Additional Resources:

###

Statements and conclusions of study authors published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association’s policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Karen Astle: 214-706-1392; karen.astle@heart.org

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Heart NewsWed, 20 Sep 2017 20:00:09 GMTStudy Highlights: Healthy nonsmokers experienced increased adrenaline levels in their heart after one electronic cigarette (e-cigarette) with nicotine. The same healthy nonsmokers did not experience increased adrenaline levels in the heart after using one nicotine-free e-cigarette or a sham e-cigarette. Acute e-cigarette use in nonsmokers did not appear to cause oxidative stress on the heart, but more studies are needed to confirm that finding. http://newsroom.heart.org/news/one-e-cigarette-may-lead-to-adrenaline-changes-in-nonsmokers-heartsWed, 20 Sep 2017 20:00:00 GMT
Embargoed 10:30 a.m. PT / 1:30 p.m. ET Sunday, Sept 17, 2017

SAN FRANCISCO, September 2017 — Organ damage from high blood pressure doesn’t only occur in adults; it can also happen in teenagers, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017 in San Francisco.

And the damage to the heart and blood vessels can occur in youth at blood pressure levels that are below the clinical definition of hypertension in youth.

High blood pressure in youth is defined differently than it is in adults. In childhood, high blood pressure is based on percentiles, rather than blood pressure level. Researchers looked at whether organ damage in teens develops below the 95th percentile, which is the clinical definition of high blood pressure in youth.

Researchers studied blood pressure and measured organ damage in 180 teenagers (14-17 years old, 64 percent white, 57 percent males). They found evidence of organ damage even among the youth categorized as “normal” with blood pressure less than in the 80th percentile. They also found heart and vessel damage in the mid-risk group, which had blood pressures in the 80th to 90th percentiles and the high-risk group, with blood pressures above the 90th percentile.

“Some adolescents may have organ damage related to blood pressure and are not targeted for therapy,” said Elaine M. Urbina, M.D., M.S., study author and director of preventive cardiology at Cincinnati Children’s Hospital Medical Center in Ohio. “Imaging of the heart may be useful in youth in the high-normal range of blood pressure to determine how aggressive therapy should be.”

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association and American Stroke Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events.  The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

 About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org  

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSun, 17 Sep 2017 17:29:43 GMTHighlights: Organ damage from high blood pressure doesn’t only occur in adults; it can also happen in teenagers, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017 in San Francisco.http://newsroom.heart.org/news/teens-also-at-risk-for-organ-damage-from-high-blood-pressureSun, 17 Sep 2017 17:30:00 GMT
Embargoed 10:30 a.m. PT / 1:30 p.m. ET Sunday, Sept 17, 2017

SAN FRANCISCO, September 2017 — Organ damage from high blood pressure doesn’t only occur in adults; it can also happen in teenagers, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017 in San Francisco.

And the damage to the heart and blood vessels can occur in youth at blood pressure levels that are below the clinical definition of hypertension in youth.

High blood pressure in youth is defined differently than it is in adults. In childhood, high blood pressure is based on percentiles, rather than blood pressure level. Researchers looked at whether organ damage in teens develops below the 95th percentile, which is the clinical definition of high blood pressure in youth.

Researchers studied blood pressure and measured organ damage in 180 teenagers (14-17 years old, 64 percent white, 57 percent males). They found evidence of organ damage even among the youth categorized as “normal” with blood pressure less than in the 80th percentile. They also found heart and vessel damage in the mid-risk group, which had blood pressures in the 80th to 90th percentiles and the high-risk group, with blood pressures above the 90th percentile.

“Some adolescents may have organ damage related to blood pressure and are not targeted for therapy,” said Elaine M. Urbina, M.D., M.S., study author and director of preventive cardiology at Cincinnati Children’s Hospital Medical Center in Ohio. “Imaging of the heart may be useful in youth in the high-normal range of blood pressure to determine how aggressive therapy should be.”

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association and American Stroke Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events.  The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

 About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org  

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSun, 17 Sep 2017 17:29:43 GMTHighlights: Organ damage from high blood pressure doesn’t only occur in adults; it can also happen in teenagers, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017 in San Francisco.http://newsroom.heart.org/news/teens-also-at-risk-for-organ-damage-from-high-blood-pressureSun, 17 Sep 2017 17:30:00 GMT
SAN FRANCISCO, Sept. 16, 2017— Two leading hypertension researchers will be honored today at the American Heart Association’s Council on Hypertension, Council on Kidney in Cardiovascular Disease, and the American Society of Hypertension Joint Scientific Sessions in San Francisco.

This year’s recipients of the annual Excellence Award for Hypertension Research are Allyn L. Mark, M.D., professor of internal medicine-cardiovascular medicine, at the University of Iowa Carver College of Medicine, and Richard J. Roman, Ph.D., Billy S. Gutyon Distinguished Professor and Chair of pharmacology and toxicology at the University of Mississippi Medical Center. Both will present lectures on their work and receive their awards during a special dinner at the Scientific Sessions meeting.

Mark’s research has explored the roles of the brain and sympathetic nervous system in controlling blood pressure.

“Our research looked at two major contributors to hypertension: obesity and high salt intake,” Mark said. “We wanted to understand why some individuals are sensitive and other individuals are resistant to the hypertensive effects of high salt intake, as well as recognize the underlying causes of hypertension caused by obesity.”

Roman has devoted his career to studying how genes impact hypertension as well as determining patients’ susceptibility to kidney and brain damage. His team identified a gene that produces a compound called 20-HETE. This compound constricts blood vessels, and, in the kidney, it increases sodium excretion.

“Gene mutations that reduce 20-HETE can lead to hypertension and stroke in humans, and we have recently found that it also is associated with dementia in elderly patients.” Roman said. “This and other research lays the groundwork for much needed clinical trials looking at drugs that target 20-HETE for the treatment of stroke, heart attack and cancer.”

Established in 1966, the Excellence Award for Hypertension honors excellence in research and discoveries in the field of hypertension. Nominees are assessed by a committee on their impact in the field of hypertension throughout their careers, as well as any single discovery. All scientists with a background in hypertension research, and those who have made a meritorious scientific discovery or discoveries, either alone or with others, may be considered.

###

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries: (214) 706-1382

AHA contact: maggie.francis@heart.org

For Public Inquiries: (800) AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Program NewsHeart NewsStroke NewsSun, 17 Sep 2017 15:13:11 GMTSAN FRANCISCO, Sept. 16, 2017— Two leading hypertension researchers will be honored today at the American Heart Association’s Council on Hypertension, Council on Kidney in Cardiovascular Disease, and the American Society of Hypertension Joint Scientific Sessions in San Francisco.http://newsroom.heart.org/news/american-heart-association-honors-scientists-for-excellence-in-groundbreaking-hypertension-researchSat, 16 Sep 2017 14:00:00 GMT
SAN FRANCISCO, Sept. 16, 2017— Two leading hypertension researchers will be honored today at the American Heart Association’s Council on Hypertension, Council on Kidney in Cardiovascular Disease, and the American Society of Hypertension Joint Scientific Sessions in San Francisco.

This year’s recipients of the annual Excellence Award for Hypertension Research are Allyn L. Mark, M.D., professor of internal medicine-cardiovascular medicine, at the University of Iowa Carver College of Medicine, and Richard J. Roman, Ph.D., Billy S. Gutyon Distinguished Professor and Chair of pharmacology and toxicology at the University of Mississippi Medical Center. Both will present lectures on their work and receive their awards during a special dinner at the Scientific Sessions meeting.

Mark’s research has explored the roles of the brain and sympathetic nervous system in controlling blood pressure.

“Our research looked at two major contributors to hypertension: obesity and high salt intake,” Mark said. “We wanted to understand why some individuals are sensitive and other individuals are resistant to the hypertensive effects of high salt intake, as well as recognize the underlying causes of hypertension caused by obesity.”

Roman has devoted his career to studying how genes impact hypertension as well as determining patients’ susceptibility to kidney and brain damage. His team identified a gene that produces a compound called 20-HETE. This compound constricts blood vessels, and, in the kidney, it increases sodium excretion.

“Gene mutations that reduce 20-HETE can lead to hypertension and stroke in humans, and we have recently found that it also is associated with dementia in elderly patients.” Roman said. “This and other research lays the groundwork for much needed clinical trials looking at drugs that target 20-HETE for the treatment of stroke, heart attack and cancer.”

Established in 1966, the Excellence Award for Hypertension honors excellence in research and discoveries in the field of hypertension. Nominees are assessed by a committee on their impact in the field of hypertension throughout their careers, as well as any single discovery. All scientists with a background in hypertension research, and those who have made a meritorious scientific discovery or discoveries, either alone or with others, may be considered.

###

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries: (214) 706-1382

AHA contact: maggie.francis@heart.org

For Public Inquiries: (800) AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Program NewsHeart NewsStroke NewsSun, 17 Sep 2017 15:13:11 GMTSAN FRANCISCO, Sept. 16, 2017— Two leading hypertension researchers will be honored today at the American Heart Association’s Council on Hypertension, Council on Kidney in Cardiovascular Disease, and the American Society of Hypertension Joint Scientific Sessions in San Francisco.http://newsroom.heart.org/news/american-heart-association-honors-scientists-for-excellence-in-groundbreaking-hypertension-researchSat, 16 Sep 2017 14:00:00 GMT
Study Highlights

  • Primary care practices using the Measure accurately, Act rapidly and Partner with patients (MAP) program drove down hypertension rates among patients.
  • In six months of MAP, hypertension control rose from 65.6 percent to 74.8 percent, among more than 21,000 hypertension patients at U.S. primary care practices.

Embargoed 3p.m. PT / 6p.m. ET, Saturday, Sept. 16, 2017

SAN FRANCISCO, Sept. 16, 2017— A quality improvement program designed to better control hypertension in primary care practices notably improved hypertension control in six months, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017, in San Francisco.

One in three American adults has high blood pressure. That number is steadily climbing, despite the fact that high blood pressure can be easily treated using evidence-based guidelines.

Based on the American Medical Association’s M.A.P. Framework, the AMA collaborated with Care Coordination Institute Labs, Greenville South Carolina, to create the M.A.P. hypertension improvement program using the latest science in blood pressure control. It stands for measuring blood pressure accurately; acting rapidly to manage uncontrolled blood pressure; and partnering with patients to promote blood pressure self-management.

“The goal of the M.A.P. is to make it easier for doctors and care teams to help people with hypertension effectively manage their blood pressure,” said study author Michael Rakotz, M.D., vice president of chronic disease prevention at the American Medical Association (AMA), based in Chicago.

Researchers compared blood pressure measurements of more than 21,000 hypertensive patients from 16 practices, comparing their blood pressures from the start of the study to those taken six months into participating in the MAP intervention.

They found:

  • Blood pressure control rose from 65.6 percent to 74.8 percent in six months.
  • Twelve of the 16 practices in the study reported notably better blood pressure control in their hypertensive patients.
  • Among the uncontrolled patients at the study’s start, average blood pressure fell from 149/85 to 139/80 mm Hg.
  • Teaching accurate blood pressure measurement technique resulted in reduced systolic pressures in uncontrolled patients in the office.
  • There was no notable change in physicians increasing the number of or dosage of anti-hypertensive medications to treat patients with uncontrolled blood pressure.
  • There was a significant increase in drop in blood pressure with each medication change made during the study (14 mm Hg), compared to drops in blood pressure with each medication change prior to the study (5.4 mm Hg), implying that either patients are doing better at taking their medications daily or that the medications they are being prescribed are working better, according to Rakotz.

“MAP’s evidence-based strategies offer an opportunity for primary care practices to work with patients to quickly improve blood pressure control. And the initiative goes hand-in-hand with national programs focused on reducing the burden of heart disease and stroke, including Target: BP,” Rakotz said.

Target: BP™ is a joint initiative between the AHA and AMA aimed at reducing the number of American adults who die each year from heart attack and stroke. The MAP BP improvement program is a central part of the initiative.  

High blood pressure contributes to major health problems, including heart attack, heart failure, stroke, kidney failure and more. The American Heart Association’s goal is to improve cardiovascular health of all Americans by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent by the year.

Co-authors are Brent Egan, M.D.; R. Bruce Hanin, M.D.; Irfan Asif, M.D., Jianing Yang, M.S., Susan Sutherland, Ph.D., Robert Davis; and Gregory Wozniak, Ph.D.

Author disclosures are on the manuscript.

The American Medical Association funded this study.

Note: Scientific presentation time of abstract 93 is 4:30 p.m. PT/ 7:30 p.m. ET, Saturday, Sept. 16, 2017.

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association and American Stroke Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events.  The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org 

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSat, 16 Sep 2017 22:00:18 GMTStudy Highlights: Primary care practices using the Measure accurately, Act rapidly and Partner with patients (MAP) program drove down hypertension rates among patients. In six months of MAP, hypertension control rose from 65.6 percent to 74.8 percent, among more than 21,000 hypertension patients at U.S. primary care practices. http://newsroom.heart.org/news/blood-pressure-better-controlled-with-map-for-doctorsSat, 16 Sep 2017 22:00:00 GMT
Study Highlights

  • Primary care practices using the Measure accurately, Act rapidly and Partner with patients (MAP) program drove down hypertension rates among patients.
  • In six months of MAP, hypertension control rose from 65.6 percent to 74.8 percent, among more than 21,000 hypertension patients at U.S. primary care practices.

Embargoed 3p.m. PT / 6p.m. ET, Saturday, Sept. 16, 2017

SAN FRANCISCO, Sept. 16, 2017— A quality improvement program designed to better control hypertension in primary care practices notably improved hypertension control in six months, according to research presented today at the American Heart Association (AHA) Council on Hypertension, AHA Council on Kidney in Cardiovascular Disease, American Society of Hypertension Joint Scientific Sessions 2017, in San Francisco.

One in three American adults has high blood pressure. That number is steadily climbing, despite the fact that high blood pressure can be easily treated using evidence-based guidelines.

Based on the American Medical Association’s M.A.P. Framework, the AMA collaborated with Care Coordination Institute Labs, Greenville South Carolina, to create the M.A.P. hypertension improvement program using the latest science in blood pressure control. It stands for measuring blood pressure accurately; acting rapidly to manage uncontrolled blood pressure; and partnering with patients to promote blood pressure self-management.

“The goal of the M.A.P. is to make it easier for doctors and care teams to help people with hypertension effectively manage their blood pressure,” said study author Michael Rakotz, M.D., vice president of chronic disease prevention at the American Medical Association (AMA), based in Chicago.

Researchers compared blood pressure measurements of more than 21,000 hypertensive patients from 16 practices, comparing their blood pressures from the start of the study to those taken six months into participating in the MAP intervention.

They found:

  • Blood pressure control rose from 65.6 percent to 74.8 percent in six months.
  • Twelve of the 16 practices in the study reported notably better blood pressure control in their hypertensive patients.
  • Among the uncontrolled patients at the study’s start, average blood pressure fell from 149/85 to 139/80 mm Hg.
  • Teaching accurate blood pressure measurement technique resulted in reduced systolic pressures in uncontrolled patients in the office.
  • There was no notable change in physicians increasing the number of or dosage of anti-hypertensive medications to treat patients with uncontrolled blood pressure.
  • There was a significant increase in drop in blood pressure with each medication change made during the study (14 mm Hg), compared to drops in blood pressure with each medication change prior to the study (5.4 mm Hg), implying that either patients are doing better at taking their medications daily or that the medications they are being prescribed are working better, according to Rakotz.

“MAP’s evidence-based strategies offer an opportunity for primary care practices to work with patients to quickly improve blood pressure control. And the initiative goes hand-in-hand with national programs focused on reducing the burden of heart disease and stroke, including Target: BP,” Rakotz said.

Target: BP™ is a joint initiative between the AHA and AMA aimed at reducing the number of American adults who die each year from heart attack and stroke. The MAP BP improvement program is a central part of the initiative.  

High blood pressure contributes to major health problems, including heart attack, heart failure, stroke, kidney failure and more. The American Heart Association’s goal is to improve cardiovascular health of all Americans by 20 percent while reducing deaths from cardiovascular disease and stroke by 20 percent by the year.

Co-authors are Brent Egan, M.D.; R. Bruce Hanin, M.D.; Irfan Asif, M.D., Jianing Yang, M.S., Susan Sutherland, Ph.D., Robert Davis; and Gregory Wozniak, Ph.D.

Author disclosures are on the manuscript.

The American Medical Association funded this study.

Note: Scientific presentation time of abstract 93 is 4:30 p.m. PT/ 7:30 p.m. ET, Saturday, Sept. 16, 2017.

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association and American Stroke Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events.  The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org 

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSat, 16 Sep 2017 22:00:18 GMTStudy Highlights: Primary care practices using the Measure accurately, Act rapidly and Partner with patients (MAP) program drove down hypertension rates among patients. In six months of MAP, hypertension control rose from 65.6 percent to 74.8 percent, among more than 21,000 hypertension patients at U.S. primary care practices. http://newsroom.heart.org/news/blood-pressure-better-controlled-with-map-for-doctorsSat, 16 Sep 2017 22:00:00 GMT
Study Highlight:

  • Overall, home blood pressure monitoring has increased among U.S. adults.
  • However, those with less than a high school diploma and no partner are less likely to monitor blood pressure at home.
  • Adults who have and are being treated for high blood pressure show higher rates of home monitoring.

Embargoed until 11:45a.m. PT/ 2:45p.m. ET, Saturday, Sept. 16

SAN FRANCISCO, Sept. 16, 2017 – Having a lower education level and no partner is associated with a lower frequency of home blood pressure monitoring, according to new research presented at the American Heart Association’s Council on Hypertension 2017 Scientific Sessions.

Researchers assessed the data of 6,113 U.S. adults from the 2013-2014 National Health and Nutrition Examination Survey (NHANES).

They found:

  • The number of American adults checking blood pressure at home at least monthly has increased about 4 percent (from 21.7 percent in 2009-2010 to 25.5 percent in 2013-2014).
  • Having less than a high school diploma and no partner was associated with a lower frequency of home blood pressure monitoring.
  • Adults who had high blood pressure, were aware of high blood pressure and were being treated for high blood pressure showed higher rates of home monitoring.

The American Heart Association recommends home monitoring for all people with high blood pressure. Home monitoring allows hypertensive individuals to take ownership of their treatment and helps healthcare providers determine whether treatments are working. It also helps to evaluate potential false readings that differ between the doctor’s office and at home.

This recommendation is in concert with the American Heart Association and American Medical Association’s nationwide initiative, Target: BP, which encourages health care providers to reach and sustain a blood pressure control rate of 70 percent or higher among their patients.

Co-authors include Joel C. Marrs, Pharm.D.; Sarah L. Anderson, Pharm.D.

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at www.heart.org/corporatefunding.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org 

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSat, 16 Sep 2017 18:47:43 GMTStudy Highlight: Overall, home blood pressure monitoring has increased among U.S. adults. However, those with less than a high school diploma and no partner are less likely to monitor blood pressure at home. Adults who have and are being treated for high blood pressure show higher rates of home monitoring. http://newsroom.heart.org/news/adults-without-partners-monitor-their-blood-pressure-less-frequentlySat, 16 Sep 2017 18:45:00 GMT
Study Highlight:

  • Overall, home blood pressure monitoring has increased among U.S. adults.
  • However, those with less than a high school diploma and no partner are less likely to monitor blood pressure at home.
  • Adults who have and are being treated for high blood pressure show higher rates of home monitoring.

Embargoed until 11:45a.m. PT/ 2:45p.m. ET, Saturday, Sept. 16

SAN FRANCISCO, Sept. 16, 2017 – Having a lower education level and no partner is associated with a lower frequency of home blood pressure monitoring, according to new research presented at the American Heart Association’s Council on Hypertension 2017 Scientific Sessions.

Researchers assessed the data of 6,113 U.S. adults from the 2013-2014 National Health and Nutrition Examination Survey (NHANES).

They found:

  • The number of American adults checking blood pressure at home at least monthly has increased about 4 percent (from 21.7 percent in 2009-2010 to 25.5 percent in 2013-2014).
  • Having less than a high school diploma and no partner was associated with a lower frequency of home blood pressure monitoring.
  • Adults who had high blood pressure, were aware of high blood pressure and were being treated for high blood pressure showed higher rates of home monitoring.

The American Heart Association recommends home monitoring for all people with high blood pressure. Home monitoring allows hypertensive individuals to take ownership of their treatment and helps healthcare providers determine whether treatments are working. It also helps to evaluate potential false readings that differ between the doctor’s office and at home.

This recommendation is in concert with the American Heart Association and American Medical Association’s nationwide initiative, Target: BP, which encourages health care providers to reach and sustain a blood pressure control rate of 70 percent or higher among their patients.

Co-authors include Joel C. Marrs, Pharm.D.; Sarah L. Anderson, Pharm.D.

Additional Resources:

###

Statements and conclusions of study authors that are presented at American Heart Association scientific meetings are solely those of the study authors and do not necessarily reflect association policy or position. The association makes no representation or warranty as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations are available at www.heart.org/corporatefunding.

For Media Inquiries and AHA/ASA Spokesperson Perspective: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org 

For Public Inquiries: 1-800-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

 

]]>Heart NewsScientific Conferences & MeetingsStroke NewsSat, 16 Sep 2017 18:47:43 GMTStudy Highlight: Overall, home blood pressure monitoring has increased among U.S. adults. However, those with less than a high school diploma and no partner are less likely to monitor blood pressure at home. Adults who have and are being treated for high blood pressure show higher rates of home monitoring. http://newsroom.heart.org/news/adults-without-partners-monitor-their-blood-pressure-less-frequentlySat, 16 Sep 2017 18:45:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsFri, 15 Sep 2017 22:00:09 GMTStudy Highlights: Gender matters when it comes to what’s most likely to elevate blood pressure in young to middle-aged adults. The volume of blood pumped from the left ventricle during heartbeats, i.e., stroke volume, is the main determinant of blood pressure levels in women, while blood pressure in men is more likely to be determined by the amount of resistance in the body’s blood vessels. The results suggest a possible need for gender-specific treatment of high blood pressure in young to middle-aged people. http://newsroom.heart.org/news/high-blood-pressure-reasons-differ-by-gender-in-teens-young-adultsFri, 15 Sep 2017 22:00:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsFri, 15 Sep 2017 22:00:09 GMTStudy Highlights: Gender matters when it comes to what’s most likely to elevate blood pressure in young to middle-aged adults. The volume of blood pumped from the left ventricle during heartbeats, i.e., stroke volume, is the main determinant of blood pressure levels in women, while blood pressure in men is more likely to be determined by the amount of resistance in the body’s blood vessels. The results suggest a possible need for gender-specific treatment of high blood pressure in young to middle-aged people. http://newsroom.heart.org/news/high-blood-pressure-reasons-differ-by-gender-in-teens-young-adultsFri, 15 Sep 2017 22:00:00 GMT
Aspectos destacados:

  • Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas que las mujeres sin este síndrome a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto.
  • Los cambios del músculo cardíaco fueron más graves entre las mujeres que desarrollaron preeclampsia antes de las 34 semanas de embarazo.
  • En otro estudio, la monitorización de telemedicina parece prometedora para reducir los reingresos hospitalarios de mujeres que desarrollan hipertensión justo después de dar a luz.

Prohibida su publicación hasta las 15:00 PT/18:00 ET del jueves, 14 de septiembre de 2017

SAN FRANCISCO, 14, de septiembre de 2017 – Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto. Los cambios fueron más graves entre las mujeres de desarrollaron el síndrome pronto, después de la semana 34 del embarazo, de acuerdo con las investigaciones presentadas hoy en las sesiones científicas en conjunto de 2017 del Council on Hypertension de la American Heart Association (AHA), el Council on Kidney in Cardiovascular Disease de la AHA, la American Society of Hypertension en San Francisco.

La preeclampsia es una peligrosa elevación de la presión arterial que se produce en la segunda mitad del embarazo. Las mujeres con preeclampsia suelen tener una cantidad anormal de proteínas en la orina. De acuerdo con los National Institutes of Health, el número exacto de mujeres que desarrollan preeclampsia no se conoce pero se estima que está entre un 2% y un 8% de todos los embarazos en todo el mundo y alrededor de un 3,4% en Estados Unidos.

La aparición temprana de la preeclampsia, que ocurre antes de la semana 34 de gestación, normalmente es una forma más grave de la enfermedad, declaró el autor del estudio, el Dr. GianLuca Colussi, profesor adjunto de medicina en la Universidad de Udine en Udine, Italia. "Las mujeres con preeclampsia de aparición temprana tienen el mayor riesgo de desarrollar una enfermedad cardiovascular posteriormente."

Colussi y sus compañeros estudiaron la estructura del corazón y su función en 65 mujeres un mes después del parto. Las mujeres no tenían la presión arterial alta antes de quedarse embarazadas pero desarrollaron preeclampsia durante el embarazo. Un treinta y seis por cierto de estas mujeres sufrió una preeclampsia de aparición temprana. Para realizar comparaciones, también incluyeron en el estudio a 16 mujeres no embarazadas con hipertensión, 6 mujeres embarazadas sanas y 30 mujeres no embarazadas sanas.

Esto fue lo que descubrieron:

  • En comparación con las mujeres sanas embarazadas y no embarazadas, las mujeres con preeclampsia presentaban un mayor riesgo de hipertrofia del ventrículo izquierdo. Esto sucede cuando la cavidad de bombeo izquierda del corazón se engrosa, lo que dificulta que el corazón bombee de forma eficiente.

  • Las mujeres con preeclampsia también eran más propensas a sufrir cambios en el ventrículo izquierdo lo que se traduce en una disfunción diastólica, que pone en peligro la capacidad del corazón para relajarse y llenarse de sangre.

  • Las mujeres con preeclampsia de aparición temprana desarrollaron cambios del ventrículo izquierdo más graves, muy similares a los que se suelen observar en pacientes con hipertensión crónica con un alto riesgo de trastornos cardiovasculares.

  • Entre las mujeres con preeclampsia, las que tuvieron la de aparición tardía tenían niveles de presión arterial más altos, una media de 136/91 mm Hg, que aquellas con una aparición temprana, con una media de 125/87 mm Hg. Una posible explicación, según Colussi, puede ser que las pacientes con preeclampsia de aparición temprana se recuperaron antes que las pacientes con preeclampsia de aparición tardía después del parto.

Los hallazgos señalan que las mujeres embarazadas con preeclampsia y sus médicos deben ser conscientes del elevado riesgo cardiovascular que puede ocurrir después del parto.

"Se deben realizar cribados a estas mujeres para detectar factores de riesgo cardiovascular importantes y deben implementarse estrategias de prevención tan pronto como sea posible", afirmó Colussi. "Hemos demostrado que las mujeres preeclampsia de aparición temprana podrían tener un riesgo incluso mayor, por lo que se recomiendan intervenciones preventivas, como el uso de fármacos que actúan en el remodelado del ventrículo izquierdo."

"Se necesitan más investigaciones con más pacientes para validar estos resultados, así como para ayudar a explicar por qué los cambios en el corazón son más propensos a ocurrir", afirmó.

En otro estudio sobre la preeclampsia presentado en la reunión científica (resumen 34), los investigadores evaluaron una intervención de tratamiento y monitorización con telemedicina, para mujeres con presión arterial alta grave después del parto o con riesgo de desarrollarla. Los primeros resultados sugieren que el enfoque es factible, las pacientes lo aceptan y es una estrategia prometedora para reducir los reingresos hospitalarios y las complicaciones relacionadas con la hipertensión posparto.

Coautores con Colussi son la Dra. Cristiana Catena, Ph.D.; Dra. Lorenza Driul; Dra. Francesca Pezzutto; Dra. Valentina Fagotto; y Dr. Leonardo Alberto Sechi. Los conflictos de interés de los autores están en el artículo. La PierSilverio Nassimbeni Foundation ha financiado el estudio del Dr. Colussi.

Los coautores del estudio de telemonitorización son Kara K. Hoppe, Julie B. Zella, Nicole A. Thomas, Heather M. Johnson.

Nota: La hora de presentación para los resúmenes 26 y 34 es 15:20 PT/18:20 ET, jueves, 14 de septiembre de 2017

Recursos adicionales:

###

Las declaraciones y conclusiones de los autores de los estudios que se presentan en las reuniones científicas de la American Heart Association y la American Stroke Association pertenecen a los autores del estudio y no reflejan necesariamente la postura ni las políticas de la asociación. La asociación no ofrece garantía de ningún tipo de su exactitud o fiabilidad. La asociación recibe financiación de personas particulares principalmente; también realizan donaciones fundaciones y empresas (incluidas empresas farmacéuticas y fabricantes de dispositivos entre otras) y financian eventos o programas específicos de la asociación. La asociación tiene políticas estrictas para evitar que estas relaciones influyan en el contenido científico. Los ingresos procedentes de empresas famacéuticas y fabricantes de dispositivos así como de proveedores de seguros sanitarios están disponibles en www.heart.org/corporatefunding

Acerca de la American Heart Association

La American Heart Association está comprometida con la prevención de las cardiopatías y los accidentes cerebrovasculares, las dos causas principales de muerte en el mundo. Nuestro equipo está formado por millones de voluntarios para financiar la investigación innovadora, luchar por una política de sanidad pública más fuerte y proporcionar herramientas e información que salvan vidas para evitar y tratar estas enfermedades. La asociación tiene su sede en Dallas y es la organización formada por voluntarios mayor y más antigua del país dedicada a luchar contra las cardiopatías y los accidentes cerebrovasculares. Para obtener más información o implicarse en la causa, llame al 1-800-AHA-USA1, visite heart.org o llame a cualquiera de nuestras oficinas situadas por todo el país. Síganos en Facebook y Twitter.

Para consultas de los medios de comunicación y el punto de vista de la portavoz de la AHA/ASA: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org

Para consultas públicas: 1-800-AHA-USA1 (242-8721)

heart.org y strokeassociation.org

]]>Heart NewsForeign Language News ReleasesStroke NewsThu, 14 Sep 2017 22:07:01 GMTAspectos destacados: Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas que las mujeres sin este síndrome a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto. Los cambios del músculo cardíaco fueron más graves entre las mujeres que desarrollaron preeclampsia antes de las 34 semanas de embarazo. En otro estudio, la monitorización de telemedicina parece prometedora para reducir los reingresos hospitalarios de mujeres que desarrollan hipertensión justo después de dar a luz. http://newsroom.heart.org/news/es-posible-que-las-mujeres-con-complicaciones-en-el-embarazo-tengan-la-funcion-cardiaca-afectada-despues-del-partoThu, 14 Sep 2017 22:00:00 GMT
Aspectos destacados del estudio:

  • Mantener un peso saludable supone un aspecto clave para prevenir aumentos de la presión arterial desde la juventud hasta la madurez.
  • Estos hallazgos apoyan la necesidad de crear intervenciones que ayuden a las personas a mantener un peso normal durante toda la vida.

Prohibida su publicación hasta las 15:00 PT / 18:00 ET del jueves 14 de septiembre de 2017

SAN FRANCISCO, 14 de septiembre de 2017 – Nuevas investigaciones demuestran que mantener un peso saludable durante toda la vida – incluso más que los otros factores estudiados – es importante para controlar la presión arterial, de acuerdo con las investigaciones presentadas hoy en las sesiones científicas conjuntas de 2017 del Council on Hypertension de la American Heart Association (AHA), el Council on Kidney in Cardiovascular Disease de la AHA, la American Society of Hypertension en San Francisco.

“El aumento de la presión arterial en edades jóvenes está asociado a la aparición temprana de cardiopatías y accidentes cerebrovasculares; las directrices estadounidenses para el tratamiento de la hipertensión alientan que se mantengan hábitos saludables durante toda la vida para limitar los aumentos de la presión arterial”, ha manifestado John N. Booth III, Ph.D., investigador posdoctoral de la Strategically Focused Hypertension Research Network de la American Heart Association en la Universidad de Alabama en Birmingham (EE. UU.). “Estudiamos específicamente el impacto a largo plazo de mantener hábitos saludables sobre los cambios de la presión arterial entre el periodo de juventud y de madurez”.

Los investigadores analizaron el impacto de mantener cinco hábitos saludables sobre los niveles de presión arterial durante 25 años:

  • Un peso saludable, definido como índice de masa corporal inferior a 25 kg/m2.
  • No fumar nunca.
  • De 0 a 7 bebidas alcohólicas a la semana para las mujeres y de 0 a 14 para los hombres.
  • 150 minutos o más de actividad física, de moderada a intensa, a la semana.
  • Mantener una dieta sana, basada en el plan dietético Dietary Approaches to Stop Hypertension (enfoques dietéticos para detener la hipertensión).

Se evaluaron 4.630 participantes del estudio "Coronary Artery Risk Development in Young Adults" (Desarrollo de riesgo en arterias coronarias en jóvenes adultos), que tenían de de 18 a 30 años en 1985 y 1986, cuando comenzó el estudio. Durante el seguimiento de 25 años, los investigadores midieron la presión arterial y los hábitos saludables 8 veces, hasta que los participantes alcanzaron la madurez.

Esto fue lo que descubrieron:

  • Los participantes que mantuvieron un peso saludable tenían más probabilidades de tener presión arterial normal conforme cumplían años. En concreto, aquellos que mantuvieron un peso óptimo tenían un 41% menos de probabilidad de elevar la presión arterial conforme cumplían años.
  • Practicar actividad física o mantener una dieta saludable no estaban asociadas a cambios en la presión arterial durante el periodo de 25 años.
  • No fumar nunca y no consumir alcohol o un consumo moderado se asociaron a un menor aumento en la presión arterial en la madurez, pero se requiere un estudio mayor para verificar esta relación.
  • Los participantes en el estudio que mantuvieron al menos 4 de los hábitos tenían un 27% más de posibilidades de tener presión arterial normal que un aumento de la presión arterial desde la juventud a la madures.

“Estos datos sugieren que el peso es un factor muy importante para mantener una presión arterial normal desde la juventud hasta la madures”, señaló el Dr. Booth. “Estos resultados aportan pruebas de que lo que debemos hacer es centrarnos en cómo crear intervenciones que permitan a las personas mantener un peso normal durante toda la vida. Los demás hábitos estudiados pueden jugar un papel importante, ya que pueden influir en el peso corporal”.

Además, aunque no estaban tan estrechamente relacionados con los cambios en la presión arterial con el tiempo, el Dr. Booth enfatizó que los otros hábitos saludables aportan claros beneficios para la salud cardiovascular general y ayudan a mantener un buen peso. “La American Heart Association recomienda mantener hábitos saludables para evitar factores de riesgo de desarrollo de cardiopatías y accidentes cerebrovasculares, incluida la hipertensión arterial”.

Los coautores son Norrina B. Allen, Ph.D.; April P. Carson, Ph.D.; David Calhoun, M.D.; Daichi Shimbo, M.D.; James M. Shikany, Dr.Ph.; Cora E. Lewis, M.D.; David T. Redden, Ph.D. y Paul Muntner, Ph.D. Los conflictos de interés de los autores están en el artículo.

El National Heart Lung and Blood Institute de los National Institutes of Health y la American Heart Association han financiado este estudio.

Nota: La hora de presentación científica del póster P149 es  las 17:30 PT/ 20:30. ET del jueves 14 de septiembre de 2017.

Recursos adicionales:

###

Las declaraciones y conclusiones de los autores de los estudios que se presentan en las reuniones científicas de la American Heart Association y la American Stroke Association pertenecen a los autores del estudio y no reflejan necesariamente la postura ni las políticas de la asociación. La asociación no ofrece garantía de ningún tipo de su exactitud o fiabilidad. La asociación recibe financiación de personas particulares principalmente; también realizan donaciones fundaciones y empresas (incluidas empresas farmacéuticas y fabricantes de dispositivos entre otras) y financian eventos o programas específicos de la asociación. La asociación tiene políticas estrictas para evitar que estas relaciones influyan en el contenido científico. Los ingresos procedentes de empresas famacéuticas y fabricantes de dispositivos así como de proveedores de seguros sanitarios están disponibles en www.heart.org/corporatefunding.

Acerca de la American Heart Association

La American Heart Association está comprometida con la prevención de las cardiopatías y los accidentes cerebrovasculares, las dos causas principales de muerte en el mundo. Nuestro equipo está formado por millones de voluntarios para financiar la investigación innovadora, luchar por una política de sanidad pública más fuerte y proporcionar herramientas e información que salvan vidas para evitar y tratar estas enfermedades. La asociación tiene su sede en Dallas y es la organización formada por voluntarios mayor y más antigua del país dedicada a luchar contra las cardiopatías y los accidentes cerebrovasculares. Para obtener más información o implicarse en la causa, llame al 1-800-AHA-USA1, visite heart.org o llame a cualquiera de nuestras oficinas situadas por todo el país. Síganos en Facebook y Twitter.

Para consultas de los medios de comunicación y el punto de vista de la portavoz de la AHA/ASA: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org.

Para consultas públicas: 1-800-AHA-USA1 (242-8721)

heart.org y strokeassociation.org

]]>Heart NewsForeign Language News ReleasesStroke NewsThu, 14 Sep 2017 22:07:43 GMTAspectos destacados del estudio: Mantener un peso saludable supone un aspecto clave para prevenir aumentos de la presión arterial desde la juventud hasta la madurez. Estos hallazgos apoyan la necesidad de crear intervenciones que ayuden a las personas a mantener un peso normal durante toda la vida. http://newsroom.heart.org/news/mantener-un-peso-saludable-ayuda-a-tener-una-baja-presion-arterial-durante-toda-la-vidaThu, 14 Sep 2017 22:00:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsThu, 14 Sep 2017 22:00:14 GMTHighlights: Women who develop preeclampsia in earlier pregnancy are more likely than women without the condition to have thickening of the left heart muscle one month after delivery. The heart muscle changes were more severe among women who developed preeclampsia before 34 weeks of pregnancy. In another study, telehealth monitoring shows promise to reduce hospital readmissions in women who develop hypertension immediately after having a baby. http://newsroom.heart.org/news/women-with-pregnancy-complication-may-have-impaired-heart-function-after-deliveryThu, 14 Sep 2017 22:00:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsThu, 14 Sep 2017 22:00:08 GMTStudy Highlights: Maintaining a healthy weight is a key health behavior to prevent blood pressure increases from young adulthood into middle age. These findings support the need to create interventions that will help people maintain normal body weight throughout their lives. http://newsroom.heart.org/news/maintaining-healthy-weight-helps-keep-blood-pressure-low-through-lifeThu, 14 Sep 2017 22:00:00 GMT
Study Highlights                                                                                                                                        

  • Infections, chronic high blood pressure and bleeding or clotting disorders increase the risk of pregnancy-related stroke in women with preeclampsia.
  • Although pregnancy-related stroke is rare, women with preeclampsia are at higher risk of stroke during pregnancy and postpartum.

Embargoed until 3 p.m. CT / 4 p.m. ET Thursday, May 25, 2017

DALLAS, May 25, 2017 — Urinary tract infections, chronic high blood pressure and bleeding or clotting disorders may increase the risk of pregnancy-associated stroke in women with preeclampsia, a high-blood pressure disorder unique to pregnancy, according to new research in the American Heart Association’s journal Stroke.

Women with preeclampsia are at higher risk of stroke during pregnancy and after delivery. But while preeclampsia affects 3 percent to 8 percent of all pregnancies, pregnancy-related stroke remain rare.

In a study of women admitted to hospitals in New York State from 2003 through 2012, researchers identified 88,857 women with preeclampsia. Of that number, 197 had pregnancy-associated stroke.

Compared with women who had preeclampsia but did not have a stroke, women who had preeclampsia and pregnancy-associated stroke were:

  • seven times more likely to have severe preeclampsia or eclampsia; and
  • about three times more likely to have infections when they arrive at hospital, or had high blood pressure before developing preeclampsia or had blood disorders involving clots or excessive bleeding.

“Preeclampsia is a very complex disorder that’s not completely understood,” said Eliza Miller, M.D., study lead author and vascular neurology fellow at New York-Presbyterian Hospital/Columbia University Medical Center in New York City. “Our study sought to discover if there are other risk factors or clues that may help identify the women with preeclampsia who are at the highest risk for pregnancy-related stroke. We were looking for risk factors that could be prevented or treated.”

Researchers noted a link with urinary tract infections was interesting “because those infections are not only treatable, but could be preventable,” Miller said. 

Using billing data from the New York State Department of Health inpatient database, researchers compared women aged 12 to 55 years old with preeclampsia and pregnancy-associated stroke to a matched control group of women with preeclampsia who did not have strokes. Among the women with preeclampsia and stroke, most strokes occurred postpartum, after women had been discharged home after delivery. More than one in 10 of the preeclampsia-related strokes were fatal.

The study’s reliance on patients’ billing data limited the level of detail researchers could analyze and restricted them from drawing definitive conclusions. But the associations were strong enough, Miller said, to help generate new ideas and directions for more research.  

“Preeclampsia is a very common disorder, and a lot of people are not aware of its association with stroke,” Miller said. “Women with preeclampsia should take any neurological symptoms, such as severe headache, very seriously, especially during the postpartum period. This needs to be a major focus of future stroke research in women.”

The American Heart Association recommends home blood pressure monitoring for all people with high blood pressure.

Co-authors are Hajere Gatollari, M.P.H.; Gloria Too, M.D.; Amelia Boehme, Ph.D., M.S.P.H.; Lisa Leffert, M.D.; Randolph Marshall, M.D.; Mitchell Elkind, M.D., M.S.; and Joshua Willey, M.D., M.S. Author disclosures are on the manuscript.

The National Institutes of Health National Institute of Neurological Disorders and Stroke funded the study.

Note: May is American Stroke Month and Preeclampsia Awareness Month.

Additional Resources:

###

Statements and conclusions of study authors published in American Heart Association scientific journals are solely those of the study authors and do not necessarily reflect the association’s policy or position. The association makes no representation or guarantee as to their accuracy or reliability. The association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific association programs and events. The association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and device corporations and health insurance providers are available at www.heart.org/corporatefunding.

About the American Heart Association

The American Heart Association is devoted to saving people from heart disease and stroke –  the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.

For Media Inquiries and AHA/ASA Spokesperson Perspective: (214) 706-1173

Bridgette McNeill: (214) 706-1135; bridgette.mcneill@heart.org  

For Public Inquiries: (800)-AHA-USA1 (242-8721)

heart.org and strokeassociation.org

Life is why, science is how . . . we help people live longer, healthier lives.

]]>Heart NewsStroke NewsThu, 25 May 2017 20:00:06 GMTInfections, chronic high blood pressure and bleeding or clotting disorders increase the risk of pregnancy-related stroke in women with preeclampsia. Although pregnancy-related stroke is rare, women with preeclampsia are at higher risk of stroke during pregnancy and postpartum. http://newsroom.heart.org/news/infections-other-factors-raise-risk-of-pregnancy-related-stroke-in-women-with-preeclampsiaThu, 25 May 2017 20:00:00 GMT
Aspectos destacados:

  • Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas que las mujeres sin este síndrome a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto.
  • Los cambios del músculo cardíaco fueron más graves entre las mujeres que desarrollaron preeclampsia antes de las 34 semanas de embarazo.
  • En otro estudio, la monitorización de telemedicina parece prometedora para reducir los reingresos hospitalarios de mujeres que desarrollan hipertensión justo después de dar a luz.

Prohibida su publicación hasta las 15:00 PT/18:00 ET del jueves, 14 de septiembre de 2017

SAN FRANCISCO, 14, de septiembre de 2017 – Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto. Los cambios fueron más graves entre las mujeres de desarrollaron el síndrome pronto, después de la semana 34 del embarazo, de acuerdo con las investigaciones presentadas hoy en las sesiones científicas en conjunto de 2017 del Council on Hypertension de la American Heart Association (AHA), el Council on Kidney in Cardiovascular Disease de la AHA, la American Society of Hypertension en San Francisco.

La preeclampsia es una peligrosa elevación de la presión arterial que se produce en la segunda mitad del embarazo. Las mujeres con preeclampsia suelen tener una cantidad anormal de proteínas en la orina. De acuerdo con los National Institutes of Health, el número exacto de mujeres que desarrollan preeclampsia no se conoce pero se estima que está entre un 2% y un 8% de todos los embarazos en todo el mundo y alrededor de un 3,4% en Estados Unidos.

La aparición temprana de la preeclampsia, que ocurre antes de la semana 34 de gestación, normalmente es una forma más grave de la enfermedad, declaró el autor del estudio, el Dr. GianLuca Colussi, profesor adjunto de medicina en la Universidad de Udine en Udine, Italia. "Las mujeres con preeclampsia de aparición temprana tienen el mayor riesgo de desarrollar una enfermedad cardiovascular posteriormente."

Colussi y sus compañeros estudiaron la estructura del corazón y su función en 65 mujeres un mes después del parto. Las mujeres no tenían la presión arterial alta antes de quedarse embarazadas pero desarrollaron preeclampsia durante el embarazo. Un treinta y seis por cierto de estas mujeres sufrió una preeclampsia de aparición temprana. Para realizar comparaciones, también incluyeron en el estudio a 16 mujeres no embarazadas con hipertensión, 6 mujeres embarazadas sanas y 30 mujeres no embarazadas sanas.

Esto fue lo que descubrieron:

  • En comparación con las mujeres sanas embarazadas y no embarazadas, las mujeres con preeclampsia presentaban un mayor riesgo de hipertrofia del ventrículo izquierdo. Esto sucede cuando la cavidad de bombeo izquierda del corazón se engrosa, lo que dificulta que el corazón bombee de forma eficiente.

  • Las mujeres con preeclampsia también eran más propensas a sufrir cambios en el ventrículo izquierdo lo que se traduce en una disfunción diastólica, que pone en peligro la capacidad del corazón para relajarse y llenarse de sangre.

  • Las mujeres con preeclampsia de aparición temprana desarrollaron cambios del ventrículo izquierdo más graves, muy similares a los que se suelen observar en pacientes con hipertensión crónica con un alto riesgo de trastornos cardiovasculares.

  • Entre las mujeres con preeclampsia, las que tuvieron la de aparición tardía tenían niveles de presión arterial más altos, una media de 136/91 mm Hg, que aquellas con una aparición temprana, con una media de 125/87 mm Hg. Una posible explicación, según Colussi, puede ser que las pacientes con preeclampsia de aparición temprana se recuperaron antes que las pacientes con preeclampsia de aparición tardía después del parto.

Los hallazgos señalan que las mujeres embarazadas con preeclampsia y sus médicos deben ser conscientes del elevado riesgo cardiovascular que puede ocurrir después del parto.

"Se deben realizar cribados a estas mujeres para detectar factores de riesgo cardiovascular importantes y deben implementarse estrategias de prevención tan pronto como sea posible", afirmó Colussi. "Hemos demostrado que las mujeres preeclampsia de aparición temprana podrían tener un riesgo incluso mayor, por lo que se recomiendan intervenciones preventivas, como el uso de fármacos que actúan en el remodelado del ventrículo izquierdo."

"Se necesitan más investigaciones con más pacientes para validar estos resultados, así como para ayudar a explicar por qué los cambios en el corazón son más propensos a ocurrir", afirmó.

En otro estudio sobre la preeclampsia presentado en la reunión científica (resumen 34), los investigadores evaluaron una intervención de tratamiento y monitorización con telemedicina, para mujeres con presión arterial alta grave después del parto o con riesgo de desarrollarla. Los primeros resultados sugieren que el enfoque es factible, las pacientes lo aceptan y es una estrategia prometedora para reducir los reingresos hospitalarios y las complicaciones relacionadas con la hipertensión posparto.

Coautores con Colussi son la Dra. Cristiana Catena, Ph.D.; Dra. Lorenza Driul; Dra. Francesca Pezzutto; Dra. Valentina Fagotto; y Dr. Leonardo Alberto Sechi. Los conflictos de interés de los autores están en el artículo. La PierSilverio Nassimbeni Foundation ha financiado el estudio del Dr. Colussi.

Los coautores del estudio de telemonitorización son Kara K. Hoppe, Julie B. Zella, Nicole A. Thomas, Heather M. Johnson.

Nota: La hora de presentación para los resúmenes 26 y 34 es 15:20 PT/18:20 ET, jueves, 14 de septiembre de 2017

Recursos adicionales:

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Las declaraciones y conclusiones de los autores de los estudios que se presentan en las reuniones científicas de la American Heart Association y la American Stroke Association pertenecen a los autores del estudio y no reflejan necesariamente la postura ni las políticas de la asociación. La asociación no ofrece garantía de ningún tipo de su exactitud o fiabilidad. La asociación recibe financiación de personas particulares principalmente; también realizan donaciones fundaciones y empresas (incluidas empresas farmacéuticas y fabricantes de dispositivos entre otras) y financian eventos o programas específicos de la asociación. La asociación tiene políticas estrictas para evitar que estas relaciones influyan en el contenido científico. Los ingresos procedentes de empresas famacéuticas y fabricantes de dispositivos así como de proveedores de seguros sanitarios están disponibles en www.heart.org/corporatefunding

Acerca de la American Heart Association

La American Heart Association está comprometida con la prevención de las cardiopatías y los accidentes cerebrovasculares, las dos causas principales de muerte en el mundo. Nuestro equipo está formado por millones de voluntarios para financiar la investigación innovadora, luchar por una política de sanidad pública más fuerte y proporcionar herramientas e información que salvan vidas para evitar y tratar estas enfermedades. La asociación tiene su sede en Dallas y es la organización formada por voluntarios mayor y más antigua del país dedicada a luchar contra las cardiopatías y los accidentes cerebrovasculares. Para obtener más información o implicarse en la causa, llame al 1-800-AHA-USA1, visite heart.org o llame a cualquiera de nuestras oficinas situadas por todo el país. Síganos en Facebook y Twitter.

Para consultas de los medios de comunicación y el punto de vista de la portavoz de la AHA/ASA: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org

Para consultas públicas: 1-800-AHA-USA1 (242-8721)

heart.org y strokeassociation.org

]]>Heart NewsForeign Language News ReleasesStroke NewsThu, 14 Sep 2017 22:07:01 GMTAspectos destacados: Las mujeres que desarrollan preeclampsia temprano en el embarazo son más propensas que las mujeres sin este síndrome a sufrir un engrosamiento del músculo cardíaco izquierdo un mes después del parto. Los cambios del músculo cardíaco fueron más graves entre las mujeres que desarrollaron preeclampsia antes de las 34 semanas de embarazo. En otro estudio, la monitorización de telemedicina parece prometedora para reducir los reingresos hospitalarios de mujeres que desarrollan hipertensión justo después de dar a luz. http://newsroom.heart.org/news/es-posible-que-las-mujeres-con-complicaciones-en-el-embarazo-tengan-la-funcion-cardiaca-afectada-despues-del-partoThu, 14 Sep 2017 22:00:00 GMT
Aspectos destacados del estudio:

  • Mantener un peso saludable supone un aspecto clave para prevenir aumentos de la presión arterial desde la juventud hasta la madurez.
  • Estos hallazgos apoyan la necesidad de crear intervenciones que ayuden a las personas a mantener un peso normal durante toda la vida.

Prohibida su publicación hasta las 15:00 PT / 18:00 ET del jueves 14 de septiembre de 2017

SAN FRANCISCO, 14 de septiembre de 2017 – Nuevas investigaciones demuestran que mantener un peso saludable durante toda la vida – incluso más que los otros factores estudiados – es importante para controlar la presión arterial, de acuerdo con las investigaciones presentadas hoy en las sesiones científicas conjuntas de 2017 del Council on Hypertension de la American Heart Association (AHA), el Council on Kidney in Cardiovascular Disease de la AHA, la American Society of Hypertension en San Francisco.

“El aumento de la presión arterial en edades jóvenes está asociado a la aparición temprana de cardiopatías y accidentes cerebrovasculares; las directrices estadounidenses para el tratamiento de la hipertensión alientan que se mantengan hábitos saludables durante toda la vida para limitar los aumentos de la presión arterial”, ha manifestado John N. Booth III, Ph.D., investigador posdoctoral de la Strategically Focused Hypertension Research Network de la American Heart Association en la Universidad de Alabama en Birmingham (EE. UU.). “Estudiamos específicamente el impacto a largo plazo de mantener hábitos saludables sobre los cambios de la presión arterial entre el periodo de juventud y de madurez”.

Los investigadores analizaron el impacto de mantener cinco hábitos saludables sobre los niveles de presión arterial durante 25 años:

  • Un peso saludable, definido como índice de masa corporal inferior a 25 kg/m2.
  • No fumar nunca.
  • De 0 a 7 bebidas alcohólicas a la semana para las mujeres y de 0 a 14 para los hombres.
  • 150 minutos o más de actividad física, de moderada a intensa, a la semana.
  • Mantener una dieta sana, basada en el plan dietético Dietary Approaches to Stop Hypertension (enfoques dietéticos para detener la hipertensión).

Se evaluaron 4.630 participantes del estudio "Coronary Artery Risk Development in Young Adults" (Desarrollo de riesgo en arterias coronarias en jóvenes adultos), que tenían de de 18 a 30 años en 1985 y 1986, cuando comenzó el estudio. Durante el seguimiento de 25 años, los investigadores midieron la presión arterial y los hábitos saludables 8 veces, hasta que los participantes alcanzaron la madurez.

Esto fue lo que descubrieron:

  • Los participantes que mantuvieron un peso saludable tenían más probabilidades de tener presión arterial normal conforme cumplían años. En concreto, aquellos que mantuvieron un peso óptimo tenían un 41% menos de probabilidad de elevar la presión arterial conforme cumplían años.
  • Practicar actividad física o mantener una dieta saludable no estaban asociadas a cambios en la presión arterial durante el periodo de 25 años.
  • No fumar nunca y no consumir alcohol o un consumo moderado se asociaron a un menor aumento en la presión arterial en la madurez, pero se requiere un estudio mayor para verificar esta relación.
  • Los participantes en el estudio que mantuvieron al menos 4 de los hábitos tenían un 27% más de posibilidades de tener presión arterial normal que un aumento de la presión arterial desde la juventud a la madures.

“Estos datos sugieren que el peso es un factor muy importante para mantener una presión arterial normal desde la juventud hasta la madures”, señaló el Dr. Booth. “Estos resultados aportan pruebas de que lo que debemos hacer es centrarnos en cómo crear intervenciones que permitan a las personas mantener un peso normal durante toda la vida. Los demás hábitos estudiados pueden jugar un papel importante, ya que pueden influir en el peso corporal”.

Además, aunque no estaban tan estrechamente relacionados con los cambios en la presión arterial con el tiempo, el Dr. Booth enfatizó que los otros hábitos saludables aportan claros beneficios para la salud cardiovascular general y ayudan a mantener un buen peso. “La American Heart Association recomienda mantener hábitos saludables para evitar factores de riesgo de desarrollo de cardiopatías y accidentes cerebrovasculares, incluida la hipertensión arterial”.

Los coautores son Norrina B. Allen, Ph.D.; April P. Carson, Ph.D.; David Calhoun, M.D.; Daichi Shimbo, M.D.; James M. Shikany, Dr.Ph.; Cora E. Lewis, M.D.; David T. Redden, Ph.D. y Paul Muntner, Ph.D. Los conflictos de interés de los autores están en el artículo.

El National Heart Lung and Blood Institute de los National Institutes of Health y la American Heart Association han financiado este estudio.

Nota: La hora de presentación científica del póster P149 es  las 17:30 PT/ 20:30. ET del jueves 14 de septiembre de 2017.

Recursos adicionales:

###

Las declaraciones y conclusiones de los autores de los estudios que se presentan en las reuniones científicas de la American Heart Association y la American Stroke Association pertenecen a los autores del estudio y no reflejan necesariamente la postura ni las políticas de la asociación. La asociación no ofrece garantía de ningún tipo de su exactitud o fiabilidad. La asociación recibe financiación de personas particulares principalmente; también realizan donaciones fundaciones y empresas (incluidas empresas farmacéuticas y fabricantes de dispositivos entre otras) y financian eventos o programas específicos de la asociación. La asociación tiene políticas estrictas para evitar que estas relaciones influyan en el contenido científico. Los ingresos procedentes de empresas famacéuticas y fabricantes de dispositivos así como de proveedores de seguros sanitarios están disponibles en www.heart.org/corporatefunding.

Acerca de la American Heart Association

La American Heart Association está comprometida con la prevención de las cardiopatías y los accidentes cerebrovasculares, las dos causas principales de muerte en el mundo. Nuestro equipo está formado por millones de voluntarios para financiar la investigación innovadora, luchar por una política de sanidad pública más fuerte y proporcionar herramientas e información que salvan vidas para evitar y tratar estas enfermedades. La asociación tiene su sede en Dallas y es la organización formada por voluntarios mayor y más antigua del país dedicada a luchar contra las cardiopatías y los accidentes cerebrovasculares. Para obtener más información o implicarse en la causa, llame al 1-800-AHA-USA1, visite heart.org o llame a cualquiera de nuestras oficinas situadas por todo el país. Síganos en Facebook y Twitter.

Para consultas de los medios de comunicación y el punto de vista de la portavoz de la AHA/ASA: 214-706-1173

Maggie Francis: 214-706-1382; maggie.francis@heart.org.

Para consultas públicas: 1-800-AHA-USA1 (242-8721)

heart.org y strokeassociation.org

]]>Heart NewsForeign Language News ReleasesStroke NewsThu, 14 Sep 2017 22:07:43 GMTAspectos destacados del estudio: Mantener un peso saludable supone un aspecto clave para prevenir aumentos de la presión arterial desde la juventud hasta la madurez. Estos hallazgos apoyan la necesidad de crear intervenciones que ayuden a las personas a mantener un peso normal durante toda la vida. http://newsroom.heart.org/news/mantener-un-peso-saludable-ayuda-a-tener-una-baja-presion-arterial-durante-toda-la-vidaThu, 14 Sep 2017 22:00:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsThu, 14 Sep 2017 22:00:14 GMTHighlights: Women who develop preeclampsia in earlier pregnancy are more likely than women without the condition to have thickening of the left heart muscle one month after delivery. The heart muscle changes were more severe among women who developed preeclampsia before 34 weeks of pregnancy. In another study, telehealth monitoring shows promise to reduce hospital readmissions in women who develop hypertension immediately after having a baby. http://newsroom.heart.org/news/women-with-pregnancy-complication-may-have-impaired-heart-function-after-deliveryThu, 14 Sep 2017 22:00:00 GMT
Heart NewsScientific Conferences & MeetingsStroke NewsThu, 14 Sep 2017 22:00:08 GMTStudy Highlights: Maintaining a healthy weight is a key health behavior to prevent blood pressure increases from young adulthood into middle age. These findings support the need to create interventions that will help people maintain normal body weight throughout their lives. http://newsroom.heart.org/news/maintaining-healthy-weight-helps-keep-blood-pressure-low-through-lifeThu, 14 Sep 2017 22:00:00 GMT

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The American Heart Association strongly promotes knowledge and proficiency in BLS, ACLS, and PALS and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the American Heart Association. Any fees charged for such a course, except a portion of fees needed for AHA course materials, do not represent income to the Association.

 

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